| Tuan My Lieu Md Medical Office | |
|
4739 1-2 Rainier Avenue South Seattle WA 98118-1657 | |
| (206) 725-0119 | |
| (206) 725-8829 |
| Full Name | Tuan My Lieu Md Medical Office |
|---|---|
| Speciality | Family Medicine |
| Location | 4739 1-2 Rainier Avenue South, Seattle, Washington |
| Authorized Official Name and Position | Tuan My Lieu (MD PHYSICIAN) |
| Authorized Official Contact | 2067250119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuan My Lieu Md Medical Office 4739 1-2 Rainier Avenue South Seattle WA 98118-1657 Ph: (206) 725-0119 | Tuan My Lieu Md Medical Office 4739 1-2 Rainier Avenue South Seattle WA 98118-1657 Ph: (206) 725-0119 |
| NPI Number | 1528120441 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528120441 | NPI | - | NPPES |
| 7114879 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00020719 (Washington) | Primary |
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